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2020, vol. 37, br. 2, str. 180-190
Stopa i uzroci smrtnosti majki u južnom Iranu
aShiraz University of Medical Sciences, School of Health, Department of Epidemiology, Non-Communicable Diseases Research Center, Shiraz, I.R. Iran
bShiraz University of Medical Sciences, Shiraz Geriatric Research Center, Shiraz, I.R. Iran
cShiraz University of Medical Sciences, Office of Vice Chancellor for Health Affairs, Shiraz, I.R. Iran
dShiraz University of Medical Sciences, Student Research Committee, Shiraz, I.R. Iran
eUniversity of Texas Health Science Center at San Antonio, Department of Neurosurgery, San Antonio, Texas, USA
fShiraz University of Medical Sciences, Institute of Health, Health Policy Research Center, Shiraz, I.R. Iran

e-adresamoghadami@sums.ac.ir
Projekat:
The authors would like to acknowledge the research vice-chancellor of Shiraz University of Medical Sciences for cooperation and the financial support of dissertation proposal number 91-6314.

Ključne reči: smrtnost majki; krvarenje nakon porođaja; zemlje u razvoju; prenatalna nega; nega nakon porođaja
Sažetak
Stopa smrtnosti majki obično odražava stepen razvoja jedne zemlje. U ovoj studiji prikazana je incidencija (stopa) smrtnosti majki i razmatrani su povezani faktori rizika u provinciji Fars, na jugu Irana. Primenom sistema za nadzor Univerziteta medicinskih nauka u Shirazu, pregledani su kartoni novorođene dece u periodu od 2002. do 2012. godine, kada je zabeležena i smrtnost majki. Od 747.077 trudnoća, prosečna stopa smrtnosti majki iznosila je 21,28 na 100.000 novorođene dece godišnje, pri čemu je uočen smanjen i nesignifikantan trend. U ruralnim oblastima, stopa smrtnosti majki bila je duplo veća nego u gradskim oblastima. Najčešći uzrok smrtnosti majki bili su krvarenje (27%), zatim preeklampsija (15,7%) i infekcije (13,2%). Premda se stopa smrtnosti majki smanjila, smanjenje nije signifikantno. Na osnovu povećane stope smrtnosti majki u ruralnim oblastima, trebalo bi poboljšati negu majki, naročito posle porođaja. Krvarenje je i dalje glavni uzrok smrtnosti majki u provinciji Fars. S obzirom na to da se visok procenat ovakvih slučajeva može sprečiti, pojačana zdravstvena nega tokom trudnoće, smanjenje broja carskih rezova, bolja opremljenost zdravstvenih ustanova, kao i postojanje timova za kontrolu krvarenja u porodilištima, verovatno će značajno uticati na stopu smrtnosti majki.
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